Maverick Lee Peterson - Cannon Afb, NM

Maverick Lee Peterson

Independent Duty Medical Technicians in Cannon Afb, New Mexico

NPI 1346028149

Maverick Lee Peterson is a Independent Duty Medical Technicians based in Cannon Afb, NM and is specialized in Independent Duty Medical Technicians. Maverick Lee Peterson practices in Cannon Afb, NM. The NPI Number for Maverick Lee Peterson is 1346028149 and holds a License No. (New Mexico).

The current practice location address for Maverick Lee Peterson is 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM and can be reached out via phone at 715-817-6949.

Location: 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM, 88103

NPI Number

1346028149

Provider Name

Maverick Lee Peterson

Credential

Provider Entity Type

Individual

Gender

Male

Address

224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM, 88103

Phone Number

715-817-6949

Fax Number

Provider Enumeration Date

09/21/2023

Last Update Date

03/10/2024

Address

224 W D. L. Ingram Avenue, Bldg. 1408

City

Cannon Afb

State

New Mexico

Zip

88103

Phone Number

715-817-6949

Fax Number

Address

224 W D. L. Ingram Avenue, Bldg. 1408

City

Cannon Afb

State

New Mexico

Zip

88103

Phone Number

715-817-6949

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Independent Duty Medical Technicians

Taxonomy

1710I1003X

License No.

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Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

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